<script type="text/javascript" lang="javascript">
jQuery(document).ready(function () {
	/*********************
		Custom function and addition
	*********************/ 
	
});/*EOF jQuery*/

</script>
<h2><?php echo $cont_title; ?></h2>

<?php $this->load->view('admin_messages',$msg_info); ?>
<form action="<?php __e($frm_action);?>" method="post" name="<?php __e($frm_name);?>" id="<?php __e($frm_name);?>" class="frmreg" enctype="multipart/form-data">
  <input type="hidden" name="frm_token" id="frm_token" value="<?php __e($frm_token);?>" />
  <input type="hidden" name="frm_mode" id="frm_mode" value="<?php __e($frm_mode);?>" />
  <input type="hidden" name="frm_id" id="frm_id" value="<?php __e($frm_id);?>" />
  
  <table border="0" cellpadding="0" cellspacing="0" class="frm_com" width="100%">
    <tr>
      <td width="49%" class="frm_col_left">
        <table border="0" cellpadding="0" cellspacing="0" class="frm_inst_details">
          <tr>
            <td><label for="os_ord_usr_name"><span class="imp">*</span>&nbsp;Name</label></td>
            <td><input type="text" name="os_ord_usr_name" id="os_ord_usr_name" value="<?php __earray($post_arr, 'os_ord_usr_name'); ?>" maxlength="250" /></td>
          </tr>
          <tr>
            <td><label for="os_ord_usr_email"><span class="imp">*</span>&nbsp;Email</label></td>
            <td><input type="text" name="os_ord_usr_email" id="os_ord_usr_email" value="<?php __earray($post_arr, 'os_ord_usr_email'); ?>" maxlength="250" /></td>
          </tr> 
             
          <tr>
            <td><label for="os_ord_usr_phone"><span class="imp">*</span>&nbsp;Phone</label></td>
            <td><input type="text" name="os_ord_usr_phone" id="os_ord_usr_phone" value="<?php __earray($post_arr, 'os_ord_usr_phone'); ?>" maxlength="100" /></td>
          </tr>
          <tr>
            <td><label for="os_ord_usr_mobile"><span class="imp">&nbsp;</span>&nbsp;Mobile</label></td>
            <td><input type="text" name="os_ord_usr_mobile" id="os_ord_usr_mobile" value="<?php __earray($post_arr, 'os_ord_usr_mobile'); ?>" maxlength="100" /></td>
          </tr>
          <tr>
            <td><label for="os_ord_usr_fax"><span class="imp">&nbsp;</span>&nbsp;Fax</label></td>
            <td><input type="text" name="os_ord_usr_fax" id="os_ord_usr_fax" value="<?php __earray($post_arr, 'os_ord_usr_fax'); ?>" maxlength="100" /></td>
          </tr>
          <tr>
            <td><label for="os_ord_usr_comments"><span class="imp">&nbsp;</span>&nbsp;Comment</label></td>
            <td><textarea name="os_ord_usr_comments" id="os_ord_usr_comments" rows="5"><?php __earray($post_arr, 'os_ord_usr_comments'); ?></textarea></td>
          </tr>
        </table>
      </td>
      <td class="brdspace">&nbsp;</td>
      <td width="49%" class="frm_col_right">
        <table border="0" cellpadding="0" cellspacing="0" class="frm_invoice_details">
        <tr>
            <td><label for="os_ord_usr_add1"><span class="imp">&nbsp;</span>&nbsp;Address</label></td>
            <td><textarea name="os_ord_usr_add1" id="os_ord_usr_add1" rows="5"><?php __earray($post_arr, 'os_ord_usr_add1'); ?></textarea></td>            
          </tr>          
          <tr>
            <td><label for="os_ord_usr_city"><span class="imp">&nbsp;</span>&nbsp;City</label></td>
            <td><input type="text" name="os_ord_usr_city" id="os_ord_usr_city" value="<?php __earray($post_arr, 'os_ord_usr_city'); ?>" maxlength="200" /></td>
          </tr>
          <tr>
            <td><label for="os_ord_usr_state"><span class="imp">&nbsp;</span>&nbsp;State</label></td>
            <td><input type="text" name="os_ord_usr_state" id="os_ord_usr_state" value="<?php __earray($post_arr, 'os_ord_usr_state'); ?>" maxlength="20" /></td>
          </tr>
          <tr>
            <td><label for="os_ord_usr_postcode"><span class="imp">&nbsp;</span>&nbsp;Postcode</label></td>
            <td><input type="text" name="os_ord_usr_postcode" id="os_ord_usr_postcode" value="<?php __earray($post_arr, 'os_ord_usr_postcode'); ?>" maxlength="20" /></td>
          </tr>
          <tr>
            <td><label for="os_ord_usr_country"><span class="imp">&nbsp;</span>&nbsp;Country</label></td>
            <td><input type="text" name="os_ord_usr_country" id="os_ord_usr_country" value="<?php __earray($post_arr, 'os_ord_usr_country'); ?>" maxlength="100" /></td>
          </tr> 
        </table>
      </td>
    </tr>
    <tr>
      <td colspan="3" align="right">&nbsp;</td>
    </tr>  
        
    <tr>
      <td colspan="3" align="right">
        <input type="submit" name="btn_reg" id="btn_reg" value="Submit" class="btnreg btnpad"/>
        <input type="reset" name="btn_reset" id="btn_reset" value="Clear" class="btnreset btnpad"/>
      </td>
    </tr>
  </table>
</form>
